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NPI Code Detail

MEDICARE: ADRIAN GEORGE TEDESCHI MD

MEDICARE: ADRIAN GEORGE TEDESCHI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianA39469CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326089939
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIAN GEORGE TEDESCHI MD
Provider Business Mailing Address
First Line : PO BOX 7793
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94120-7793
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 VALE RD
Second Line :
City : SAN PABLO
State : CA
Zip : 94806-3808
Country : US
Telephone Number : 510-970-5000
Fax Number : 510-970-5761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/08/2007

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